Republic of the Philippines )

City of Cagayan de Oro ) Sc.

AFFIDAVIT OF LOSS

I, LORENA GOMEZ JUMALON, of legal age, Filipino, married, and a resident Zone 1
Upper Bantilles, Bugo, Cagayan De Oro City, after being duly sworn to an oath in accordance with
law, do hereby depose and state that:

1. I am the wife of Anastacio E. Jumalon Jr.;

2. As such I have had in my possession the Deed of Absolute Sale with Electronic Certificate
Authorizing Registration (eCAR) ,which I conveniently kept inside an envelope;

3. At present, I can no longer locate the envelope which I placed the said Deed of Absolute Sale with
Electronic Certificate Authorizing Registration (eCAR). I already looked for places that I might
place it but to no avail was not found.

4. Despite diligent efforts to locate the same, my efforts proved futile as I can no longer find
the said certificate.

5. I am executing this affidavit to attest to the fact that my Certificate of Eligibility was lost or
stolen, and can no longer be found.

6. Finally, I am executing this affidavit in order to attest to the foregoing facts and for
whatever legal purposes it may serve.

IN TRUTH WHEREOF, I have hereunto set my hand this ____________________in the City of
Cagayan de Oro, Philippines.

LORENA GOMEZ JUMALON

Affiant

SUBSCRIBED AND SWORN to before me, this ________________, at Cagayan de Oro City,
Philippines. Affiant exhibited to me her ID # _________________ issued on _________________ issued
at __________________.

RAMIL G. CARREON
Doc. No. Notary Public NC-2020-04
Page No. Until December 31, 2021
Book No. PTR No. 4927524 A, 01-04-2021 CDOC
Series of 2021 IBP No. 138319, 01-04-2021 Mis. Or.
TIN No. 922-710-579
Roll No. 51523 5-10-2006
Cagayan de Oro City
MCLE Compliance # VI-0000751, September 29, 2016